A client diagnosed with polycystic kidney disease (PKD. asks the nurse about the cause of their condition. Which response by the nurse is accurate?

A. This is not the priority assessment for this client. Skin rash and itching are common in ESRD due to the accumulation of waste products in the bloodstream, but it is not the most critical finding among the options given.

B. This is not the priority assessment for this client. Numbness and tingling in extremities can be related to neuropathy, which can occur in ESRD, but it is not the most critical finding among the options given.

C. This is the priority assessment for the client with ESRD. Decreased urine output is a significant symptom of kidney failure and requires immediate attention. It may indicate worsening kidney function or complications that need to be addressed promptly.

D. This is not the priority assessment for this client. While increased blood pressure can be a complication of ESRD, decreased urine output takes precedence in this situation.

A. This is correct. ESRD often leads to hypertension and increased cardiovascular risk due to fluid retention, electrolyte imbalances, and activation of the renin-angiotensin-aldosterone system.

B. This is incorrect. Clients with ESRD are at increased risk for bone fractures and calcium imbalances due to impaired calcium and phosphorus metabolism, leading to bone demineralization and increased fracture risk.

C. This is incorrect. ESRD is not associated with improved vision or eye health; in fact, clients with ESRD may experience eye complications, such as retinopathy, due to the effects of diabetes and hypertension on the retina.

D. This is incorrect. ESRD can affect the gastrointestinal system, leading to complications such as nausea, vomiting, and gastrointestinal bleeding due to the accumulation of waste products and electrolyte imbalances.